Active NPI 1699842781 Individual Practitioner Male Practitioner

Dr. Jerald Robert Sultz , MD

Plastic Surgery • Williamsville, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jerald Sultz, MD is a certified Plastic Surgery practicing in Williamsville, NY. With approximately 42 years of clinical experience since graduating from State University Of Ny Upstate Medical University in 1984, Dr. Sultz delivers high-quality medical care to the local community at 1301 N FOREST RD.

Dr. Sultz is affiliated with Western New York Dermatology Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, tangential biopsy of single skin lesion, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1301 N Forest Rd
Suite 1

Williamsville, NY 142213277

Telephone 7166341970

Fax 7166343845

Associated Practice Facility / Clinic

🏢 Legarreta Eye Center Facility NPI 1033304597

Medicare Profile & Education

Medical School

State University Of Ny Upstate Medical University

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Williamsville, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +9.3 yrs vs City Avg

City Avg: 32.7 Yrs

State Avg: 30.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Williamsville, NY (476 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

32.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sultz (42 Years) 42 Yrs

Williamsville Specialty Average (32.7 Years) 32.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	38	$110.00	$56.16
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$130.00	$90.44
11102 Tangential biopsy of single skin lesion	19	18	$140.00	$91.19
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	19	17	$520.00	$374.60
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	18	17	$560.00	$411.59
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	13	$610.00	$466.62
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$320.00	$122.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	34	$110.00	$54.13
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$130.00	$86.60
11102 Tangential biopsy of single skin lesion	21	14	$140.00	$90.52
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	11	$514.58	$319.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$160.00	$109.16
11102 Tangential biopsy of single skin lesion	42	34	$150.00	$96.80
99213 Established patient office or other outpatient visit, typically 15 minutes	41	34	$115.73	$88.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	19	$75.00	$54.87
11103 Biopsy of related skin growth, each additional growth	26	18	$80.00	$49.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	45	$106.03	$87.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$151.92	$108.65
11102 Tangential biopsy of single skin lesion	45	35	$148.49	$96.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$63.86	$52.20
11103 Biopsy of related skin growth, each additional growth	17	13	$80.00	$48.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$148.00	$104.96
11102 Tangential biopsy of single skin lesion	38	33	$148.00	$96.50
99213 Established patient office or other outpatient visit, typically 15 minutes	37	34	$102.00	$71.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$62.00	$44.19
11103 Biopsy of related skin growth, each additional growth	18	17	$80.00	$51.94
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	11	11	$536.00	$235.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$161.53	$102.29
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$109.50	$71.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	25	$70.06	$43.26
11102 Tangential biopsy of single skin lesion	24	21	$159.50	$94.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	68	68	$262.00	$95.84
11100 Biopsy of single growth of skin and/or tissue	49	40	$249.00	$94.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	28	$105.00	$39.73
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$177.00	$66.22
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	22	21	$957.00	$218.25
11101 Biopsy of each additional growth of skin and/or tissue	19	13	$80.00	$27.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	16	$1033.00	$225.07
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$599.00	$74.68
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$181.00	$67.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$181.00	$67.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	25	$105.00	$38.49
11100 Biopsy of single growth of skin and/or tissue	18	17	$249.00	$92.60
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	12	12	$1033.00	$223.30

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NY 181975

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Worker's Compensation

CPS181975-4B (NY)

Commercial Insurance / Payer ID Tax Identifer

16-1605603 (NY)

Commercial Insurance / Payer ID Indepedent Health

1309949 (NY)

Commercial Insurance / Payer ID United Empire

1320353 (NY)

Commercial Insurance / Payer ID Blue Cross Blue Shield

000524867 (NY)

Commercial Insurance / Payer ID Univera

00010309402 (NY)

Commercial Insurance / Payer ID Community Blue

000524867002 (NY)

Commercial Insurance / Payer ID Choice Care

50599 (NY)

Hospital & Practice Group Affiliations

Western New York Dermatology Pllc

297 Spindrift Dr, Williamsville, NY 142217894

Phone: 7168312600

Western New York Dermatology Pllc

297 Spindrift Dr, Williamsville, NY 142217894

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. John Legarreta , MD

Ophthalmology

NPI 1629395892

Doctor of Medicine (M.D.)

Dr. Deborah Arenos , OD

Optometrist

NPI 1649368978

Doctor of Optometry

Dr. Robert Yetto , DDS

Dentist - General Practice

NPI 1720117427

Doctor of Dental Surgery

Dr. Edward Legarreta , MD

Specialist

NPI 1942265988

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 05, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location June 05, 2008

Registered at 1301 N FOREST RD, SUITE 1, WILLIAMSVILLE, NY 142213277 (Tel: 7166341970)

📍

Updated Business Mailing Address June 05, 2008

Registered at 1301 N FOREST RD, SUITE 1, WILLIAMSVILLE, NY 142213277 (Tel: 7166341970)

👤

Provider Name / Credentials Updated June 05, 2008

Recorded as JERALD SULTZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2008

Plastic Surgery (License #181975 in NY)

🟢

Initial NPI Registration & Enumeration November 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699842781

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 30, 2006

Last Update: June 05, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1301 N Forest Rd, Suite 1

Williamsville, NY 142213277

Phone: 7166341970

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.